Final call : Check in before it’s too late
Once the symptoms of hemorrhoids or venous diseases arrive, they tend to stay with you everywhere you go. But the road out of the problem is clear, if you’re willing to follow the signs.
No more delays. It’s time to check in and make the doctor your destination for hemorrhoids and venous diseases.
What causes hemorrhoids?
They are a result of increased pressure on the blood vessels in your anal canal and can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids), often leading to anal discomfort, bleeding, itching, or pain.1
What do hemorrhoids look like?1
External hemorrhoids
External hemorrhoids are what most people think of when they picture hemorrhoids. Location is the only difference between the 2 different types of piles, but the difference in discomfort can be considerable. External hemorrhoids form on the outside of the anus, directly on the opening where there are lots of nerve endings, so can be particularly itchy and painful.Internal hemorrhoids
Internal hemorrhoids are formed deep inside the anus and are not usually visible. They can resolve without treatment, but occasionally they will swell and protrude from the anus. Prolapsed hemorrhoids are internal hemorrhoids that have grown to the point that they protrude from the anus.Symptoms of hemorrhoidal disease
Hemorrhoids symptoms treatment: start early
Grade I
- Bleeding
- Visible on proctoscopy
- Protrusion on straining
- No prolapse
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Grade I
There may be bleeding, discomfort, and itching, and protrusion on straining, but no evidence of prolapse. It is nonetheless essential that you treat from this first stage to avoid worsening symptoms.
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Grade II
- Bleeding
- Protrusion on straining
- Prolapse visible at anal margin during straining
- Spontaneous return when straining ends
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Grade II
Without treatment, your condition may worsen, leading to pain when using the toilet, bleeding, and hemorrhoids that tend to prolapse when straining but reduce when straining ceases.
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Grade III
- Bleeding
- Protrusion on straining
- Visible on proctoscopy
- Prolapse requiring manual reduction
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Grade III
When hemorrhoids progress to Grade III, bleeding is more frequent and your piles will prolapse on straining and need to be pushed back in. You can do this yourself. If there is a thrombosis (blood clot inside the vein) as well, the pain may be very strong.
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Grade IV
- Bleeding
- Discharge
- Permanent and irreductible prolapse
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Grade IV
This is the most serious stage. You will have permanent piles that you can’t push back in yourself without pain in addition to previous signs and symptoms. Surgery in addition to venoactive treatments becomes essential.
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The main symptoms of hemorrhoidal disease that can occur at all grades of the disease are bleeding, pain, itching, and discomfort.1
Risk factors of hemorrhoidal disease3
Low dietary fiber diet, spicy diet, alcohol intake
Obesity
Age
Pregnancy
Sedentary lifestyle
Chronic straining during defecation
Prolonged sitting on the toilet
Constipation and diarrhea
